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克隆宁格气质维度与急性烟草戒断之间的关联。

Associations between Cloninger's temperament dimensions and acute tobacco withdrawal.

作者信息

Leventhal Adam M, Waters Andrew J, Boyd Susan, Moolchan Eric T, Heishman Stephen J, Lerman Caryn, Pickworth Wallace B

机构信息

Center for Alcohol and Addiction Studies, Brown University, Box G-S121, Providence, RI 02912, USA.

出版信息

Addict Behav. 2007 Dec;32(12):2976-89. doi: 10.1016/j.addbeh.2007.06.014. Epub 2007 Jun 9.

Abstract

This study examined associations between three temperament dimensions measured by the Temperament and Character Inventory-125 [Cloninger, C.R. (1992). The Temperament and Character Inventory-125 (TCI-125; Version 1.)] and tobacco abstinence effects. Smokers (N=203, >/= 15 cigarettes/day) attended two laboratory sessions, one following 12 h of abstinence and the other following ad libitum smoking (order counterbalanced). Participants completed measures of withdrawal symptoms, cigarette urges, and affect. Smokers high in Novelty Seeking reported greater abstinence-induced increases in several nicotine withdrawal symptoms, negative affect, and cigarette craving. Smokers high in Harm Avoidance reported greater abstinence-induced increases in negative affect and urges to smoke to relieve distress. Reward Dependence was not associated with abstinence effects. Novelty Seeking and Harm Avoidance showed independent predictive associations with negative affect and urges, and their associations with abstinence effects persisted when controlling for FTND scores. Smokers with different temperaments display different patterns of acute tobacco withdrawal, and may benefit from treatments matched to their particular abstinence profile.

摘要

本研究考察了由《气质与性格量表-125》[克隆宁格,C.R.(1992年)。《气质与性格量表-125》(TCI-125;第1版)]所测量的三种气质维度与戒烟效果之间的关联。吸烟者(N = 203,每天吸食≥15支香烟)参加了两次实验室测试,一次是在戒烟12小时后,另一次是在随意吸烟后(顺序平衡)。参与者完成了戒断症状、吸烟冲动和情绪的测量。寻求新奇得分高的吸烟者报告称,在戒烟后,几种尼古丁戒断症状、消极情绪和吸烟渴望的增加更为明显。回避伤害得分高的吸烟者报告称,在戒烟后,消极情绪以及为缓解痛苦而吸烟的冲动增加更为明显。奖赏依赖与戒烟效果无关。寻求新奇和回避伤害与消极情绪及冲动呈现出独立的预测关联,并且在控制了尼古丁依赖快速筛查量表(FTND)得分后,它们与戒烟效果的关联依然存在。具有不同气质的吸烟者表现出不同的急性烟草戒断模式,可能会从与其特定戒烟情况相匹配的治疗中受益。

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